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Ten Sensational DoItYourself Technologies to Spice up Your Practice

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Title: Ten Sensational DoItYourself Technologies to Spice up Your Practice


1
Ten SensationalDo-It-Yourself Technologies to
Spice up Your Practice
  • February 9th, 2008Las Vegas, Nevada

2
Agenda
  • To discuss new technology that might actually be
    useful to you in your practice
  • Things that you should be able to head home
    Sunday and would be able to start implementing on
    Monday
  • Talk will be available to you later so you dont
    need to take notes

3
Image Backup
  • Makes a duplicate of the computers hard drive.
    Includes
  • Windows
  • Applications
  • Customizations
  • Data that is stored on the drive
  • Everything, its a complete and exact copy

4
Image Backup
  • Requires
  • A Backup Application (lt100), such as
  • Acronis TrueImage (www.acronis.com)
  • Norton Ghost (www.symantec.com)
  • A place to put it
  • Portable USB Hard Drive (lt200)
  • Western Digital Passport Drive
  • Maxtor OneTouch
  • Network Share (Free?)

5
Image Backup
  • Implement the solution
  • Schedule the back to run automatically and
    unattended overnight
  • Make a recover CD and be sure it works. Keep the
    CD handy
  • Validate the backup periodically to make sure its
    getting done and is readable
  • Make sure people are aware the solution is in
    place

6
Image Backup
  • Be prepared for a recovery before it happens
  • Who will you call for help (if needed)
  • Know how to use the software
  • Boot to the recovery CD
  • Select Recover a drive
  • Select the drive to re-image
  • Select the backup file
  • Click go (and pray)
  • Reboot when complete, and you are back in business

7
Image Backup
  • Caveats
  • You need to restore to identical hardware
  • You can adapt to new hardware, but its trickier
    and requires Universal Restore module
  • The more data on the drive, the longer it takes
  • Portable drives need to connect using fast USB
    2.0 (really old PCs have slow USB 1.1)
  • You can usually add a USB 2.0 card to an old PC

8
Image Backup
  • For Servers too!
  • Server versions of the same software
  • They understand complicated RAID array setups
  • Costs more (lt1,000)
  • Takes longer since there is usually more data
  • Saves you more if there is a disaster
  • Probably not a DIY project
  • Consider your databases (SQL, Exchange, others)
  • Test recovery process works with your hardware

9
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10
Biometrics
  • Fingerprint Scanners have made their way into our
    practices
  • Integrated strategically with the practice
    management applications
  • Dolphin Management
  • Ortho2 Viewpoint
  • Orthotrac Office
  • Very specific models are supported

11
Biometrics
  • What are they good for
  • HIPAA compliant patient sign-in
  • Practice Management Login
  • Financial Adjustments
  • Employee Timeclock

12
Biometrics
  • Patient Sign-In

Capture
Patient Flow
Simplicity
13
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14
Flat Panel Displays
  • In the past 10 years
  • Sizes have Increased
  • Resolutions have Increased
  • Prices have Decreased
  • Quality has Improved
  • Clearly the current standard
  • Tubes are history now
  • Many, many choices, not all are best for you

15
Flat Panel Displays
  • Resolution
  • How many pixels does a monitor have
  • Width x Height (i.e. 1024 x 768)
  • Megapixels (1024 x 768 786,432 0.79mp)
  • More is not always better
  • Consider the size of the display and the distance
    you are sitting from it
  • Larger Low Res screen far away appears the same
    as a Smaller Hi Res screen close up
  • A laptop with a 15 screen and a very high
    resolution 1920x1280 UWXGA screen (2.5mp) is very
    hard to use.
  • Icons, fonts, menus dont magically adjust to
    keep a correct relative size as resolutions
    increase

16
Flat Panel Displays
  • Sizes
  • Measured Diagonally
  • Aspect Ratios
  • 43
  • Traditional format
  • 169
  • Wide screen format
  • 19 43 ratio is the same height as a 22 wide
    screen monitor

17
Flat Panel Displays
  • Technologies
  • LCD (Liquid Crystal Display)
  • Computer Grade
  • TV Grade
  • Plasma (excited gases)
  • Limited Lifespan (lt60,000 hrs)
  • Susceptible to burn-in
  • Glass
  • Cheaper than LCD in larger formats
  • LCDs will win the day

18
Flat Panel Displays
  • Watch out for
  • A 30 Computer LCD will be a much higher
    resolution than a similar 1080p LCD TV
  • Not all large format TVs (LCD or Plasma) are good
    choices for use with a computer
  • Must have a VGA or DVI connector
  • TVs come in many resolutions

19
Flat Panel Displays
  • Aspect Ratio Gotchas
  • Distortion if you dont set them right
  • Choose a resolution that matches your monitor
  • Video card might now work with monitor
  • A modern card most likely will
  • Software application might not support it
  • Check in advance
  • You cant mirror dual monitors properly unless
    they have the same ratio
  • Wider is not a guaranteed utopia
  • Seems like Wider is where everything is going

20
Flat Panel Displays
  • Aspect Ratio and Resolution Gotchas

1600 x 1200 Resolution so high my icons are too
small
1280 x 960 Resolution and aspect just right
1280 x 768 Aspect Ratio is wrong
21
Flat Panel Displays
  • Multiple Monitors
  • Easy to do Duals
  • Desktop Mirroring
  • Same information on both monitors
  • Monitor resolutions need to match
  • Extended Desktop
  • One monitor is the Primary
  • Desktop just continues onto the Secondary
  • More space
  • Resolutions dont have to match

22
Flat Panel Displays
23
Flat Panel Displays
  • Mirrored Monitors Same on both

24
Flat Panel Displays
  • Extended Desktop It just keeps going

25
Flat Panel Displays
  • Monitor Features to look for.
  • VESA Mounting Options
  • Flat Wall Mount
  • Arm Mount
  • Pole Mounted
  • Endless choices
  • More costly than the monitor
  • Integrated Options
  • Soundbars
  • Media Card Readers
  • USB ports

26
Flat Panel Displays
  • Prices
  • Which would you choose?
  • Fast computer with a poor monitor
  • Mediocre computer with a larger, excellent
    monitor
  • Which would your staff appreciate more?

27
Flat Panel Displays
  • Consult Rooms
  • Dual Monitors
  • Extended Desktop
  • 22 ideally positioned for the TC
  • 24 or 1080p LCD ideally positioned for patients,
    usually wall mounted
  • Integrated Sound on patient display

28
Flat Panel Displays
  • Lobby Area
  • Practice Promotion
  • Replaces the bulletin board
  • Large LCD TV (not Plasma)
  • Connected to a PC out of sight
  • Internally developed and maintained PowerPoint
    presentation

29
Flat Panel Displays
  • Records Rooms and Doctors Desk
  • Diagnostic requirement
  • 24 Monitor
  • Soundbar

30
Flat Panel Displays
  • Reception Desk
  • 19 regular
  • 22 if space permits

31
Flat Panel Displays
  • Chairside
  • 19 regular aspect
  • Mounted on Arm or Post

32
Flat Panel Displays
  • What would it cost to change up all the monitors?
    Assuming
  • 22 Monitors for, Reception 1, Reception 2, and
    Finance
  • 19 Monitors for Chair 1 thru 5
  • 24 Monitors for Consult, Records and Doctor
  • Less than 3,000
  • Happy Staff Priceless

33
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34
Wireless Networking
  • Ahhh, wireless. Utopia for the cabling impaired.
  • Not a fad, its here to stay
  • Built-in to many new devices
  • Hot spots are everywhere, and now your office
    too!
  • Not ready for business prime time

35
Wireless Networking
  • 802.11b - 11 Mbps - 150 feet
  • 802.11a - 54 Mbps - 50 feet
  • 802.11g - 54 Mbps 150 feet
  • .b and .g use 2.4GHz
  • .a uses 5 GHz
  • Betamax vs. VHS battle
  • 802.11n draft 108 Mpbs
  • Wired networks run 1,000 Mbps (Gigabit)
  • We hedge and buy b/g devices for now and rely on
    .g

36
Wireless Networking
  • What is WiFi good for?
  • Tablets
  • Doctors Laptop
  • Waiting Room Hot Spot
  • Put up a small sign
  • Inexpensive
  • Sexy

37
Wireless Networking
38
Wireless Networking
  • What does it take to add a HotSpot?
  • WiFi Router
  • I like the Linksys WRV200 (lt100)
  • A network connection near your waiting room
  • Configuring the basics of your router
  • Change the password
  • Hand out public DNS settings
  • Enable WiFi security (64-bit WEP)
  • Set time restrictions to match the office hours
  • You might want to involve your IT people

39
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40
Going Paperless
  • The basics of the paperless process
  • Dont generate paper to begin with
  • Your Records need to go digital
  • Digital X-ray
  • Digital Photography
  • Digital Models
  • You need software
  • Practice Management
  • Image Management
  • You need commitment to the process

41
Paperless
  • What to do with the paper that remains?
  • Archive the old stuff off-site
  • Scan
  • Flat Bed
  • Slow
  • Large
  • Special models can do x-rays (expensive)
  • Document Scanners
  • A new breed

42
Paperless
  • Document Scanners
  • Small Footprint
  • Very Fast
  • Reasonable Cost
  • Multiple pages
  • Double Sided
  • Quiet
  • Easy to connect (USB)

43
Paperless
  • Document Scanners
  • Can integrate into practice management
    applications Document Center via TWAIN
  • Can scan direct to Adobe PDF format with a touch
    of a button
  • NOT for X-rays
  • Two that we use
  • Fujitsu Scansnap S510 (475)
  • Xerox Documate 152 (475)

44
Paperless
  • Document Scanners

45
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46
Internet Kiosk
  • Provide a computer in the lobby to access the
    Internet while they are waiting
  • Homework
  • Email
  • Social Networking
  • Website of the practice
  • Need to watch guard against abuse
  • Physical Arrangement open view
  • Filtering Software NetNanny (lt30)
  • Lock it down Microsoft Shared Computer Resource
    Kit (a.k.a. Windows SteadyState - Free)

47
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48
Windows Vista
49
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50
Anything from Apple
MacBook Air
iPod
iPhone
iTunes
51
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52
Hard Drives
  • Why on earth should we talk about hard drives?
  • They store the information your practice
    generates
  • You can now get a lot for a little
  • 300GB lt 100
  • 1000GB 1TB lt 300
  • 33 cents per GB
  • You need to be an informed consumer

53
Thumb Drives
  • USB Drives, Memory Keys, Flash Drives
  • Small, fast, and reusable
  • Has replaced the Floppy (1.44MB) and CDR (700MB)
  • Range from 32MB to 32GB
  • 1GB Key 10
  • 4GB Key 30
  • 8GB Key 50
  • 32GB Key 460

54
Portable USB Drives
  • Laptop Hard Drives in a small case
  • Has replaced the Backup Tape
  • Range from 80GB to 320GB
  • 80GB 90
  • 250GB 160
  • 320GB 215

55
USB External Drives
  • Desktop Hard Drives in a Case
  • Good for additional backup
  • Not built to be a portable
  • USB connected usually
  • Sizes up to 1TB
  • 1TB 300

56
Portable USB Drives
  • Warning Not all drives are good choices for all
    things.
  • Speeds matter
  • Reliability matters

57
Storage Solutions
  • Whats Fastest?
  • Consider the throughput rate to the storage.

58
Storage Solutions
  • Why does the speed matter?
  • Consider the time to handle the 340MB DICOM file
    .

59
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60
Dolphin Aquarium
  • Patient Education Application
  • Built new from scratch with latest animation
    tools
  • Works great on any monitor, dual displays
  • Updates automatically as new media is ready
  • Very simple to use
  • Can be Network licensed

61
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62
Cone Beam CT
63
Dolphin 3D
  • Cone-Beam CT software for the Orthodontist
  • Requires a DICOM dataset of the patient
  • Have your lab send you these
  • Recreate traditional X-rays views
  • Creates awesome 3D views
  • Diagnostic and Marketing tool
  • Viewer is free in Imaging Premium
  • Have your lab send you the worked up case

64
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65
20 Years Ago
66
20 Years Ago
275 in 1988 Dream 7,852 in 2008 Basic
5,422 in 2008
67
20 Years Ago
68
20 Years Ago
69
Thank You!
  • steve_at_mmeconsulting.com
  • Presentation Online at
  • www.mmeconsulting.com/presentations

See you at the AAO in Denver!
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